SGS 620 C
| Applicant Legal Business Name North America Inc. Id Peachtree Roaq i. - a
= 1UU nee, Georgia 30024 1 States
| SYBER SENSE IOT COMPANY a CIM
| Address
| Grantee Code EFCC IN
| Authorized Contact Name Contact Email Contact Phone Pe it et ees
|, the undersigned, certify that | at a) in accordance with 47C knowledge and belief. b) in accepting a Grant of FLAT/RM 10 BLK A 16/F HI TE STREET TSUEN WAN Unno Ko eA VMPC APRU LB 1435 simon.lee@d-3.com.hk
| 90776042 |
TEARS eee Seed n an authorized signatory for the Applicant <
FR2.911(d), all of the statements herein anc Equipment Authorization issued by a TCB.t hE ey gh ae nd therefore declare;
nder the authority of the FCC, as a result of orrect to the best of my the representations made in this application, the Ap}
(1) labelina the e
(2) compliance s
(3) compliance o c) ifthe Applicant is not th that production units of d) in accordance with 47 C party and agree to abid e) in accordance with ISO and agrees to abide by
(1) the Applicant unc
(2?) the Annplicant sh,
(3) the Applicant sh. Cee andinr ICES licant is responsible for:
aulioment with the exact FCC IN ae enerifier Ue edi coe a) eae ee tatement labeling pursuant to to the applicable f the equipment with the applicable technica e actual manufacturer of the equipment, apr this equipment will continue to comply with t
-FR 2.909 and KDB394321, the Applicant h:
=> by their responsibilities as specified under 17065, FCC KDB641163, FCC KDB610077, the post market surveillance requirements. Jerstands, accepts and agrees that a sampl aff make provisions to always have a produc all upon request by SGS, at the Applicants Y ac inctnicted The camnle chall inclide all 1 in this annlication. ropriate arrangements have been made wit he FCCs technical requirements. 4s read, understood and agrees to accept tr 47 CFR 2.909 and KDB394321.
-KDB394321 and RSP-100, the Applicant h e may be requested for surveillance testing. tion sample available upon request hy SGS expense, provide a production sample of tr ermnorn devices cahleac enfhaara arracer h the manufacturer to ensure at they are the responsible as read, understood, accepts
> ECC and/nr ISEN eee le ee ee"
ie requested product to SGS, rac Aare wathar hRareisreasces Ae
. Se eee) Oe software requirec tY) = nerntner the Appicant nol 5301 of the Anti-Drug Al 47CFR 1.2002(b) for the g) the Applicant has read, t Link to CFRs: https: /iwww. fcc. govi |
LIA LU ALY DS. TIPO saVvo IU. UU Link to RSP-100: https://www.ic.qc
| Applicant Signature: /
CC ee Fe Ne eee aeeEeEGeEee af to eS ee) rN i fe ee 1 for evaluation, review, certifi cation and auc any Pally (0 TC aPPuCaUOll ls SUNJEUL LY a |
suse Act of 1988, 21 U.S.C. 862 because :
definition of a party for these purposes. inderstood, accepts and agrees to abide by wireless/bureau-divisions/technologies-syst a eee | Cee | eae ee [ey ey WSLS RU TIAL
.ca/eic/site/smt-ast.nsf/eng/sf01130.html
~~ Ie NE ee ee ee ee fit surveillance of products certified by SGS PS hai INS BA Jy en et 1.) eer i a = fe = a el ALY oitial OF FCUCTal VDENeEls, (Nat includes FC:
of a conviction for possession or distributior the SGS North America, Inc.(TCB) terms ;
ems-and-innovation-division/rules-requlatic oP Wet ARE PCI Vl C benefits, pursuant to Section 1 of a controlled substance. See and conditions. ns-title-47 fl io i an a
. meg. ay Simon Lee Ts4la- CERO L A ibiwe 1 i il
*NOTE: This declaration cannot be signed by an Agent, it shall be signed by In authorized person listed in the FCC data Avg ie a i Be Pe Co, ae base Applicant Declaration Rev:0.0 BEE BIZ